• Title/Summary/Keyword: bleeding complication

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Carbon dioxide LASER-aided management of oral mucosal diseases (이산화탄소(CO2) 레이저로 치료하면 좋은 구강점막질환)

  • Byun, Jin-Seok
    • The Journal of the Korean dental association
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    • v.56 no.7
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    • pp.391-397
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    • 2018
  • Mess removal, electrocoagulation, cryosurgery are conventional methods in the treatment of various oral mucosal diseases. However, there are several problems or complication during or after surgery using conventional tools. Recently, LASER gradually become useful tool in the surgery of oral mucosal diseases. Of the LASER, carbon dioxide-mediated LASER is widely used one. Carbon dioxide LASER has many advantages such as good bleeding control, decreased damage to adjacent tissue, decreased pain and swelling, reduced scar formation, even bacteriocidal effects. In this reports, the author describe pros and cons of LASER, especially focused on carbon dioxide, and shed light on the field of LASER application in treatment of various oral mucosal diseases.

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A Case of Warfarin-induced Submucosal Hemorrhage of The Larynx and Upper Trachea (Warfarin치료중 발생한 후두 및 기관 점막하 출혈 1례)

  • 정형수;이재홍;조재식
    • Korean Journal of Bronchoesophagology
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    • v.4 no.2
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    • pp.235-239
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    • 1998
  • Warfarin sodium is a widely used oral anticoagulant and it sometimes causes hemorrhage in various sites such as traumatic or operative wounds, urologic organs, gastrointesitnal tract and subcutaneous tissues. Warfarin induced hemorrhage in upper respiratory tract causing upper airway obstruction is extremely rare. Despite the life-threatening nature of this complication, the symptoms are obscure like sore throat or hoarseness, suggesting infection and early diagnosis can be delayed. Careful medical history is emphasized When bleeding is observed, the patient should be admitted for close observation and prompt treatment. Recently we have exrperienced a case of laryngeal and upper tracheal submucosal hemorrhage induced by long term warfarin in 64 years old mm. We described the case with a review of the literature.

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Dental management of patients on anti-thrombotic agents

  • Lee, Jeong Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.4
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    • pp.143-150
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    • 2018
  • The number of geriatric patients seeking dental service is ever-rising because of increased life expectancy, also with problem of increased chronic medical conditions. One of them are patients on anti-thrombotic medication. Bleeding complication after minor oral surgery by anti-thrombotic agents is of concerns to dentists on dental management of these patients. Risk and benefit of the anti-thrombotic agents must be weighed before initiating dental procedures, which should be established as a treatment guideline. Purpose of the paper is to optimize the management of the dental patients on antithrombotic medication via standardization of treatment protocol of such a patient.

Surgical Treatment of Boerhaave's Syndrome (Boerhaave증후군 환자의 외과적 치료)

  • Kim, Dong Won
    • Korean Journal of Bronchoesophagology
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    • v.18 no.1
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    • pp.9-12
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    • 2012
  • Boerhaave's syndrome is a very fatal condition occuring esophageal rupture during emesis and has the worst prognosis of the esophageal perforation. From May 2007 to March 2012 11 patients underwent surgical treatment for Boerhaave's syndrome at Inje University Sanggye Paik Hospital. There were 11 males whose mean age was 49.9 years ranging from 42 to 59. 2 cases of primary closure was performed and 9 cases of anastomosis using EEA (Esophago-Enteric Anastomisis) stapler. Mean operation time was 154.4 minutes and one patient who undergone primary repair died because of mediastinitis and sepsis on $35^{th}$ post-operative day. There was no leakage at other patients. Post-operative complication was one operative wound infection and one post-operative bleeding which was treated completely. Surgical treatment for Boerhaave's syndrome using EEA stapler is simple and effective technique but further studies with large number of cases should be carried out for better outcome.

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Partial Necrosis of the Mandibular Proximal Segment Following Transoral Vertical Ramus Osteotomy

  • Kim, Somi;Kim, Sang Yoon;Kim, Gi-Jung;Jung, Hwi-Dong;Jung, Young-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.3
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    • pp.131-134
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    • 2014
  • Transoral vertical ramus osteotomy (TOVRO) procedure can result in a variety of complications. Complications commonly reported include extensive bleeding due to major blood vessel injury, unpredictable fracture, postoperative infection, neurosensory deficit related Inferior alveolar nerve, insufficient osteosynthesis, and temporomandibular joint problem. The authors describe a case of partial necrosis of the mandibular proximal segment following TOVRO, a rarely reported complication. A 37-year-old otherwise healthy woman underwent Lefort l osteotomy and TOVRO to correct mandibular prognathism. Postoperatively, she developed pain and swelling in the right submandibular region and was found to have a partial necrosis of proximal segment.

Penetrating Chest Trauma in Autopneumonectomy Status due to Pulmonary Tuberculosis : 1 Case Report (폐결핵에 의한 전폐자가절제 환자에서의 흉부 자상 치험 1례-)

  • Hong, Yoon Joo
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.89-93
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    • 2005
  • Penetrating chest trauma by stab injury may result in massive hemothorax from damage to single or multiple intrathoracic organs such as heart, aorta, internal mammary artery, intercostal artery or pulmonary parenchyme. Prognosis of massive hemothorax necessitating emergency thoracotomy is fatal especially so if there exists concomitant underlying compromise of cardiopulmonary function. A 56 year old man with destroyed left lung due to old pulmonary tuberculosis was stabbed in right parasternal lesion through third intercostal space. Intubation with cardiopulmonary resuscitation and closed thoracostomy were performed to resuscitate from cardiac asystole from hemorrhagic shock and acute respiratory distress. Midsternotomy was made to expose active bleeding foci in right mammary artery, subclavian vein, intercostal artery and anterior segment of right upper lung showing severe bullous change and pleural adhesion. Postoperative care included ventilator support, inotropic instillation and cautious, balance fluid therapy ; successful extubation was done on third postoperative day and patient was discharged on tenth postoperative day without any complication.

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Treatment of Nasal Bone Fracture using Wire Fixation in a Horse

  • Seo, Jeeyoon;Cho, Young-Jae;Seo, Jong-pil
    • Journal of Veterinary Clinics
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    • v.35 no.1
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    • pp.22-25
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    • 2018
  • A 7-year-old, 453 kg, thoroughbred-cross mare showed depression, severe nasal bleeding, diffuse swelling, and distortion of the facial contour. Physical and radiographic examinations revealed an open nasal bone fracture. Surgery was conducted under sedation with the horse in a standing position. Two holes were drilled directly above and below the fracture line. The nasal bone was raised to the normal position by inserting a periosteal elevator through the holes. Orthopedic wire was used to secure the fractured nasal bones through the holes. The horse recovered from sedation without complication. Sutures were removed three weeks after surgery. The nasal bone fracture appeared well-recovered morphologically and the recovery was confirmed by radiography. A wire fixation method is recommended to treat nasal bone fracture in a horse.

A Case of Pseudoaneurysm of the Common Carotid Artery secondary to Deep Neck Infection (심경부 감염과 동반된 총경동맥 가성동맥류 1례)

  • 정필섭;조정석;정필상
    • Korean Journal of Bronchoesophagology
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    • v.3 no.1
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    • pp.159-163
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    • 1997
  • The complications of deep neck infection have become much less common in the antibiotic era. The vascular complications of deep neck infection can have devasting consequences. Most commonly, the internal carotid artery is involved, although the common carotid and external carotid artery can also be affected.0 the cases of patients with a protracted course, recurrent bleeding, cranial neuropathies, or trismus, the presence of vascular complications must be considered. Appropriate imaging should be carried out to allow the localization of the infection and ascertain the status of the vessels in the neck The vascular structures can be imaged with duplex doppler or color doppler flow ultrasound to see the flow between the mass and vessels. Also angiography plays a key role in the diagnosis and management of vascular complication of deep neck infection. Prompt diagnosis and treatment of these patients is necessary to prevent significant hemmorrhagic complications. We experienced a case of pseudoaneurysm of the common carotid artery secondary to deep neck infection treated successfully with surgical excision in 45-year-old-male.

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A Clinical Observation of the Nasal Acupunture Therapy on Nasal Obstruction (비침이 비색증에 대한 영향)

  • Kim, Yoon-bum;Yoon, Sang-hyub
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.12 no.2
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    • pp.205-211
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    • 1999
  • We studied 32 patents, who had visited Kyung Hee downtown oriental hospital with nasal obstruction. They has been observed their nasal cavity through anterior rhinoscopy. We had paten't middle and inferior turbinte bleeding by acupuncture. This symptom had been disappeared after this treatment. The result were as follows. 1. Sex and age distribution: The males were 18($56.2\%) and Female were 14($43.8\%$). The most common occurrence was found between 1-5 years old. 2. The most common duration of disease was between 2-6 months. 3. In decreasing order, the common complication & past history of otolaryngologic or allergic disease were allergic rhinitis, atopic dermatitis, chronic sinusitis, adenoid or tonsil hypertrophy, otitis media with effusion and asthma. 4. In descending order, distribution of symptoms were rhinorrhea, sneezing, dry sensation, sputum, frontal headach, postnasal drip and cough. 5. The improvement rate in symptom were $31.3\%\;excellent\;and\;53.1\%$ good.

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Two-stage Surgical Treatment of a Giant Solitary Fibrous Tumor Occupying the Thoracic Cavity

  • Song, Joon Young;Kim, Kyung Hwa;Kuh, Ja Hong;Kim, Tae Youn;Kim, Jong Hun
    • Journal of Chest Surgery
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    • v.51 no.6
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    • pp.415-418
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    • 2018
  • A solitary fibrous tumor (SFT) is a mesenchymal fibroblastic tumor inside the pleura, for which complete surgical resection is the standard treatment. For large SFTs, preoperative identification of tumor-feeding vessels using angiography is important for achieving complete resection without unexpected operative bleeding. Extensive adhesions can make resection difficult in a limited operative window, and pulmonary resection may be required to achieve complete SFT resection. Herein, we report successful resection of a large pleural SFT in a 39-year-old man without any complications using a 2-stage approach, in which ligation of the feeding vessels through small another operative window was the first step.